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Article History

Received: 13 August 2025

Accepted: 26 October 2025

First Online: 17 November 2025

Declarations

:

: This study was conducted following the ethical principles required in the Declaration of Helsinki and approved by the ethical committee of the First Affiliated Hospital of the University of Science and Technology of China (ethical approval number: 2025-ky222). All participants were informed of the research objective, volunteered to participate in this survey, and had the right to refuse participation at any time. Informed consent was obtained from all participants. The study data are strictly confidential and are for research use only.

: Not applicable.

: This study provides the first quantitative evidence on the relative importance of modifiable factors (spiritual climate, information literacy, and thriving at work) that drive innovative behaviors among intensive care nurses in China, using random forest modeling. Findings offer nurse administrators actionable priorities, including implementing tiered information literacy training, enhancing the Intensive Care Unit spiritual climate, facilitating interventions for thriving at work, and leveraging senior nurses’ expertise, to systematically develop innovation-supportive environments that address critical care challenges through empowered nursing practice.

: None.

: It provides reference guidelines and a theoretical foundation for global nursing managers to develop targeted initiatives aimed at enhancing the innovative behavior of Intensive care nurses.

: The authors declare no competing interests.